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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TREVOR LEE TATUM
NPI 1710639356
Physician Assistant - Surgical in Athens, AL

Active since January 25, 2022PECOS Enrolled
15232 GREENFIELD DR, ATHENS, AL 35613(256) 233-1650(256) 233-7244 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2026, Jan 25, 2022 (2 updates tracked since 2022).

About Trevor Lee Tatum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TREVOR LEE TATUM (NPI 1710639356) is an individual surgical provider in Athens, Alabama, licensed in Alabama (1909) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1710639356
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTREVOR LEE TATUM
Location Address15232 GREENFIELD DRAthens, AL 35613-2897
Mailing Address525 Wild Ridge CirPelham, AL 35124-2528 · (706) 594-8563
Phone(256) 233-1650
Fax(256) 233-7244
Sole ProprietorNo
Enumeration DateJanuary 25, 2022
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1710639356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AL · 1909
15232 GREENFIELD DR, Athens, AL 35613
Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 19th St SBirmingham, AL 35233-1927 · Phone (205) 933-8101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trevor Lee Tatum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TAMMI D HOWELL BC-HIS
Hearing Instrument Specialist
15232 GREENFIELD DR
ATHENS, AL 35613
Limestone County (256) 233-1650
MRS. KATIE FAY WHITE PA-C
Physician Assistant
15232 GREENFIELD DR
ATHENS, AL 35613
Limestone County (256) 233-1650
STEPHANIE EMBRY CRNP
Nurse Practitioner (Family)
15232 GREENFIELD DR
ATHENS, AL 35613
Limestone County (256) 233-1650
VALLEY EAR NOSE AND THROAT ASSOCIATES PC
Specialist
15232 GREENFIELD DR
ATHENS, AL 35613
Limestone County (256) 233-1650
PAUL MICHAEL PAPAJOHN D.O.
Specialist
15232 GREENFIELD DR
ATHENS, AL 35613
Limestone County (256) 233-1650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Tatum's NPI number?

The NPI number for Trevor Tatum is 1710639356. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Trevor Tatum located?

Trevor Tatum practices at 15232 Greenfield Dr, Athens, AL 35613. The listed phone number is (256) 233-1650.

What is Trevor Tatum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Trevor Tatum enrolled in Medicare?

Yes. Trevor Tatum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trevor Tatum was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.